03D2113310 CLIA NUMBER - DIGNITY HEALTH ARIZONA GENERAL HOSPITAL-SURPRISE

Laboratory Demographics

  • CLIA Code: 03D2113310
  • Facility Name: DIGNITY HEALTH ARIZONA GENERAL HOSPITAL-SURPRISE
  • Facility Address: 14267 WEST BELL RD
    SURPRISE, AZ
    ZIP 85374
  • Facility Phone: 972 899-6666
  • Facility Type: Other - FREE STANDING ER
  • Facility Type: Accreditation
  • Lab Director: DR. TYLER BRONNENKANT
  • NPI Number: 1235680034
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2113310
LAB Type Other - FREE STANDING ER
Facility Name DIGNITY HEALTH ARIZONA GENERAL HOSPITAL-SURPRISE
Street 14267 WEST BELL RD
City SURPRISE
State AZ
ZIP 85374
Phone 972 899-6666
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Other - FREE STANDING ER
Lab Director DR. TYLER BRONNENKANT

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This page was last updated on: 6/4/2025